Individual provider Active NPI

Julie Christine Moriak, PHARM.D. , RPH

  • Pharmacist
  • Saint Cloud, MN
National Provider Identifier
1629299821
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
117553 Issued in MN
Practice address
1555 Northway Dr Ste 110
Saint Cloud, MN 56303-1866
Phone
(320) 251-2700
NPI assigned
May 2, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 117553 MN Primary

Addresses

Primary practice location

1555 Northway Dr Ste 110
Saint Cloud, MN 56303-1866

Mailing address

1555 Northway Dr Ste 110
Saint Cloud, MN 56303-1866
Phone (320) 251-2700

Other practice location 1

49725 County 83
Staples, MN 56479
Phone (218) 894-8455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
117553MNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629299821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DR STE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031866",
            "telephone_number": "320-251-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DR STE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031866",
            "telephone_number": "320-251-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49725 County 83",
            "address_purpose": "LOCATION",
            "city": "Staples",
            "state": "MN",
            "postal_code": "56479",
            "country_code": "US",
            "telephone_number": "218-894-8455",
            "fax_number": "218-894-8451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIAK",
        "first_name": "JULIE",
        "middle_name": "CHRISTINE",
        "credential": "PHARM.D. , RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.